| NPI | 1215478631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A158269) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A158269) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA 158269) | |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2026-06-21 |